DAYTON CHILDREN'S HOSPITAL (NPI# 1952480030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952480030 |
| Entity Type | Organization |
| Organization Name | DAYTON CHILDREN'S HOSPITAL |
| Practice Address |
1 Childrens Plz Dayton OH 45404-1815 |
| Practice Telephone | 9376413401 |
| Mailing Telephone | 9376413401 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-04-29 |
| Authorized Official Name | MR. CHRIS BERGMAN (C.F.O.) |
| Authorized Official Telephone | 9376413338 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | Y |
| Parent Organization Name | DAYTON CHILDREN'S HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | .0324474 | 05 | |
| MEDICARE | H198500 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1010 Valley St, Dayton, OH 454042070 | 9376413401 | |
| 1010 Valley Street, Dayton, OH 45404 | 9376413401 | |
| 320 E Silver St, Lebanon, OH 450361887 | 5136953100 | |
| 3333 W Tech Blvd, Miamisburg, OH 453420955 | 9376413401 | |
| 3333 W Tech Rd, Miamisburg, OH 453420955 | 9376413401 | |
| 410 Valley St, Dayton, OH 454041843 | 9376413401 | |
| 76 Remick Blvd, Springboro, OH 450669168 | 9376413401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073848321 | Dayton Children's Hospital | Pediatrics | 3333 West Tech Road, Miamisburg, OH 45342 | 2009-10-05 |
| 1255942868 | Dayton Children's Hospital | Pharmacy | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-08-17 |
| 1407377500 | Dayton Children's Hospital | General Acute Care Hospital | 1 Childrens Plz, Dayton, OH 45404-1873 | 2017-06-29 |
| 1366994584 | Dayton Children's Hospital | General Acute Care Hospital | 3333 West Tech Road, Miamisburg, OH 45342-0817 | 2016-11-04 |
| 1730392309 | Dayton Children's Hospital | Nurse Practitioner | 3333 W Tech Rd, Miamisburg, OH 45342-0955 | 2007-05-08 |
| 1669546081 | Dayton Children's Hospital | Pharmacy | 1 Childrens Plz, Dayton, OH 45404-1815 | 2006-11-17 |
| 1457379448 | Dayton Children's Hospital | General Acute Care Hospital | 1 Childrens Plz, Dayton, OH 45404-1815 | 2006-07-17 |
| Street Address |
1 CHILDRENS PLZ |
| City | DAYTON |
| State | OH |
| Zip Code | 45404-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021324 | Dayton Children's Orthopaedic Center for Spinal & Pediatric Care, LLC | Specialist | 1 Childrens Plz, Dayton, OH 45404 | 2005-05-23 |
| 1346840782 | Lillian Delatore | Dietitian, Registered | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-10-26 |
| 1760081434 | Jennifer P Slye | Counselor | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-10-22 |
| 1255942868 | Dayton Children's Hospital | Pharmacy | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-08-17 |
| 1851917744 | Kylie Lynn Yike | Dietitian, Registered | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-06-17 |
| 1750901211 | Mitchell Alexander Mcclellan | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-24 |
| 1902426935 | Preston Keiffer | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-04-20 |
| 1336768829 | Emily Dippold | Physician Assistant | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-14 |
| 1811516875 | Courtney Ann Pierron | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-10 |
| 1790304905 | Kate Redding Boroff | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134587108 | Addison Home Health Services LLC | Nursing Care | 1819 Troy St Ste 3, Dayton, OH 45404 | 2016-02-05 |
| 1437593951 | Ronna Sue Tilley | Licensed Practical Nurse | 550 Dawes Avenue, Dayton, OH 45404 | 2013-04-26 |
| 1932397544 | Children's Anesthesia Group Inc | Anesthesiology | 1 Children's Plz, Dayton, OH 45404 | 2007-10-09 |
| 1922135292 | Donald J Elsbernd Dds Inc | Dentist | 825 Troy St, Dayton, OH 45404 | 2007-02-27 |
| 1124172036 | Mary Ann Wallace | Home Delivered Meals | 900 Troy Street, Dayton, OH 45404 | 2007-01-22 |
| 1225094287 | Ann E Burke | Pediatrics | One Childrens Plaza, Dayton, OH 45404 | 2006-04-26 |
| 1508838244 | Virginia G Matheson | Psychiatry & Neurology | Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404 | 2006-02-06 |
| 1952921710 | Daniel Oder | Student in an Organized Health Care Education/Training Program | 1 Children's Plaza, Dayton Children's Hospital, Cheri Russell, Dayton, OH 45404 | 2020-04-22 |
| 1356802276 | Alec Kelley | Student in an Organized Health Care Education/Training Program | Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404 | 2019-03-26 |
| 1205360831 | Chiara Foster | Student in an Organized Health Care Education/Training Program | 1 Childrens Plaza, Dayton, OH 45404 | 2017-04-20 |
| Find all providers in zip 45404 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669882890 | Nimisha Paul Thuluvath | Psychiatry & Neurology | 601 S Edwin Moses Blvd, Dayton, OH 45417-3424 | 2014-04-28 |
| 1649382318 | Sara N Batata | Psychiatry & Neurology | 1901 Tait Circle Rd, Dayton, OH 45429-1141 | 2006-08-31 |
| 1699917930 | Natosha Smith Onasanya | Psychiatry & Neurology | 700 E 1st St, Dayton, OH 45402-1303 | 2009-04-01 |
| 1396934162 | Kelly Marie Blankenship | Psychiatry & Neurology | 1 Childrens Plz, Dayton, OH 45404 | 2007-10-17 |
| 1265446512 | Gary A Balster Md Inc | Psychiatry & Neurology | 2218 S Patterson Blvd, Dayton, OH 45409-1930 | 2006-07-29 |
| 1770512105 | Kirk P Chung | Psychiatry & Neurology | 5350 Lamme Rd, Dayton, OH 45439-3215 | 2006-06-30 |
| 1942237425 | Stephanie Ann Riolo | Psychiatry & Neurology | 1001 E 2nd St, Suite 2000, Dayton, OH 45402-1372 | 2006-06-28 |
| 1881651800 | Dean X Parmelee | Psychiatry & Neurology | 627 S Edwin C Moses Blvd, East Medical Plaza, Dayton, OH 45408-1461 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467896142 | Erin Campbell Fulchiero | Psychiatry & Neurology | 551 East Washington St., Chagrin Falls, OH 44022 | 2013-04-24 |
| 1578820452 | Sree Latha Krishna Jadapalle | Psychiatry & Neurology | 11395 Cheyenne Trail, Apt 101, Parma Heights, OH 44130 | 2012-04-18 |
| 1801180401 | Brio Neurobehavioral Consultants | Psychiatry & Neurology | 3567 Reserve Commons Dr, Suite 125, Medina, OH 44256-5323 | 2011-06-01 |
| 1477861862 | Stacy A Solheim | Psychiatry & Neurology | Wright Patterson Medical Center - 88 Mdos/sgow, 4881 Sugar Maple Ave, Wpafb, OH 45433-5529 | 2010-09-20 |
| 1841506763 | Jackosky Health Inc | Psychiatry & Neurology | 30400 Detroit Rd Ste 404, Westlake, OH 44145-1855 | 2010-08-30 |
| 1467768531 | Jillian Alexis Shellabarger | Psychiatry & Neurology | 1522 E Us Highway 36, Urbana, OH 43078-9738 | 2010-08-26 |
| 1538321062 | Deborah Amann | Psychiatry & Neurology | 9403 Kenwood Rd Ste B120, Blue Ash, OH 45242-6884 | 2008-06-26 |
| 1154597839 | Aditi M Sheth | Psychiatry & Neurology | 2720 Sweetwater Dr, Brecksville, OH 44141-4101 | 2008-05-02 |
| 1699970608 | Family & Youth Institute | Psychiatry & Neurology | 14 Sandalwood Drive, Newark, OH 43055 | 2007-06-19 |
| 1346443090 | Madhuri Medarametla | Psychiatry & Neurology | 7590 Wentworth Ln, Mentor, OH 44060-7273 | 2007-06-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DAYTON CHILDREN'S HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.